DR. JOSEPH L BYRNE (NPI# 1669554440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669554440 |
Entity Type | Individual |
Full Name | DR. JOSEPH L BYRNE |
Credential | MD |
Practice Address |
4206 Medical Center Drive Suite 206 Fayetteville NY 13066 |
Practice Telephone | 3153292600 |
Practice Fax Number | 3157441936 |
Mailing Telephone | 3153297770 |
Mailing Fax Number | 3153297772 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2019-01-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
129580 | NY | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
129580 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124300470 | Joseph W. Byrne | Psychologist | 456 W Frontage Rd Ste 232, Northfield, IL 60093-3034 | 2011-09-13 |
1407912355 | Joseph Benard Byrne | Dentist | 4020 Railroad Ave, Pittsburg, CA 94565 | 2006-12-28 |
1356983449 | Joseph Francis Byrne | Physician Assistant | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-10-10 |
1841509551 | Joseph James Byrne | Dietitian, Registered | 737 Broadway N, Fargo, ND 58102-4421 | 2010-09-29 |
1861685463 | Joseph Bernard Byrne | Orthopaedic Surgery | 206 Hospital Ln, Sutie 202, Perryville, MO 63775-1276 | 2007-08-27 |
1003034745 | Joseph P Byrne | Physician Assistant | 4024a Old Tar Rd, Winterville, NC 28590-8430 | 2007-04-20 |
Street Address |
4206 MEDICAL CENTER DRIVE SUITE 206 |
City | FAYETTEVILLE |
State | NY |
Zip Code | 13066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
Find all providers in zip 13066 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003857319 | Carolina Vascular Institute Pa | Surgery | 1251 Oliver St, Fayetteville, NC 28304-4450 | 2006-06-09 |
1063594869 | Joseph L. Byrne Md PC | Surgery | 4206 Medical Center Dr, Fayetteville, NY 13066-6642 | 2006-10-20 |
1801837109 | Maurice R Roulhac | Surgery | 1251 Oliver St, Fayetteville, NC 28304-4450 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 13066 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.